Ammann J, Schärli A
Prog Pediatr Surg. 1977;10:33-4.
The case of a 31 year old male mongoloid patient is reported, where a congenital duodenal membrane, asymptomatic in childhood, had led to hiatal hernia, stricture of the oesophagus, and finally to carcinoma of the stricture (Fig. 1). Observation time until death was 26 months. In a first operation, the membrane was resected (Fig. 2) and Nissen's fundoplication performed. 31/2 months after that stricture, carcinoma was diagnosed. In the second operation, carcinoma was resected and continuity reestablished by oesophagogastrostomy. The patient died 8 months after the second intervention.
报告了一名31岁男性蒙古人种患者的病例，其先天性十二指肠膜在儿童期无症状，却导致了食管裂孔疝、食管狭窄，最终发展为狭窄部位的癌症（图1）。直至死亡的观察时间为26个月。在首次手术中，切除了隔膜（图2）并进行了nissen胃底折叠术。在那次狭窄发生3个半月后，诊断出癌症。在第二次手术中，切除了癌症，并通过食管胃吻合术重建了连续性。患者在第二次干预后8个月死亡。
